Coordinates with various RCM Delivery teams, including Reimbursement Analysts, Transaction Specialists, Claims Submission Specialists, Patient Access Liaisons, Patient Billing Specialists, and others, to determine what claims / payers / facilities / providers / patients / others require calling.
Assigns workflows to team, oversees workflow activities.
Maintains strong knowledge of payer-implemented billing procedures, shares changes with AR associates and makes necessary changes to processes.
Ensures team delivers quality service, in accordance with each client’s Service Level Agreement (SLA)
Call’s payers to obtain claim statuses, coordinates with appropriate team to make corrections and resubmit claim within timely filing deadlines.
Places calls to facilities/providers/payers to obtain chart notes / documentation / prior-authorization information/ eligibility verification information, etc.
Encourages smooth daily operations, and maintains daily operations reports, as necessary.
Monitors team productivity and provides guidance and motivation.
Delivers feedback on processes, workflows, and team productivity to AR Calling Supervisor
Escalates operational process/workflow issues, as necessary.
Consistently exhibits behavior and communication skills that demonstrate Harris Computers core values and commitment to quality and customer service.
Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations